How can I teach more interactively? What is the best way to use visual aids? Why should I vary my teaching method? How should I prepare for a lecture? When should I use a simulator? Good teaching skills are essential for passing on knowledge so that it will be retained and practised for a lifetime. Thus being able to teach well is vital to patient care. This book is written for the busy clinician to help improve their teaching and pass their skills and learning on to others in the most effective way. The text covers every aspect of teaching, from lesson planning and how to use resources, to evaluating teaching and dealing with difficult situations. A combination of practical advice, step-by-step instructions and sample lesson plans will help and inspire the reader to become the best teacher possible. The text is also written for those who teach others to teach; for those running a course for their department, or running official teacher training courses. The Notes for Trainers section within each chapter gives specific guidance, helpful tips and sample lesson plans to help you run a new course. The authors share their extensive range of clinical and teaching experience in this highly readable book.

Sterbehilfe ist ein Thema, das nicht nur national kontrovers diskutiert, sondern stets im Vergleich zu den Erfahrungen von anderen Landern gesehen wird. Die Arbeit systematisiert die verschiedenen Begriffe zur Sterbehilfe in zehn europaischen Landern, vergleicht sowohl die Rechtsprechung und die Gesetze zu Suizid, Beihilfe zum Suizid und Sterbehilfe als auch die jeweiligen standesethischen Vorschriften. Entscheidungen am Lebensende sind jedoch auch in einen historischen, religioesen und philosophischen Hintergrund eingebettet. Fallbeispiele aus dem klinischen Alltag mit den Moeglichkeiten und Grenzen von Technik vervollstandigen das Bild.

This book provides anesthetists, intensivists and other critical care staff with a comprehensive resource that offers ways of improving communication in everyday clinical practice, and provides practical communication tools that can be used in difficult or unfamiliar circumstances. It demonstrates how communication can be structured to improve patient care and safety with numerous practical examples and vignettes illustrating how the concepts discussed can be integrated into clinical practice, and presents ideas in a way that enhances clinical interactions with patients and colleagues and facilitate the teaching of trainees.
Edited by practicing anesthetists with particular expertise in teaching communication, and with contributions from expert clinicians based in North America, Europe and Australasia, this book will stimulate and complement the development of comprehensive resources for communication skills teaching in anesthesia and other related professional groups.

"Designed specifically for the revised Primary FRCA examination, this book contains true/false multiple choice questions. It is divided into the three specific areas outlined in the FRCA curriculum: physics and measurement, physiology, and pharmacology. Each section includes a brief introduction, 170 mcqs and answers with explanations.Uniquely the book includes answers with explanations and cross-references to key textbooks, allowing you to read more on difficult areas. The author team balances extensive exam experience with recent exam success. Each question has also been expertly reviewed to ensure the highest quality and relevance to the Primary FRCA. This is a must buy when preparing for this key exam"--Provided by publisher.

Apart from diabetes mellitus, endocrine diseases requiring surgical treatment are relatively uncommon. However, when they do occur, they frequently present major clinical anaesthestic problems that require extensive knowledge of the pathophysiology of the condition, and considerable anaesthetic expertise. This book provides the anaesthetist with a comprehensive examination of each of the endocrine conditions, covering underlying pathophysiological problems, and guidance on optimal anaesthetic care. It will be of use to trainee and consultant anaesthetists working in both specialist endocrine wards and general surgery wards where a patient with endocrine disease might present.

With medication errors in healthcare an internationally recognised problem, this much-needed book delivers a comprehensive approach to understanding medication safety in the perioperative period. It reviews what medication adverse events are, and how often and where these errors occur, as well as exploring human cognitive psychology and explaining why things can go wrong at any time in a complex system. Detailed discussions around mistakes, judgement errors, slips and lapses, and violations, are presented alongside real-life examples of the indistinct line between negligence and inevitable error. The co-authors bring a wide and practical perspective to the theories and interventions that are available to improve medication safety, including legal and regulatory actions that further or impede safety. Essential reading for anesthesiologists, nurses, pharmacists and other perioperative team members committed to improving medication safety for their patients, and also an invaluable resource for those who fund, manage and regulate healthcare.

This book on post-injury multiple organ failure (MOF) offers a comprehensive overview and clinically focused practical guide to treating the condition. MOF is arguably the most difficult complication to manage in polytrauma patients and is responsible for the majority of trauma deaths among patients who survived the first 24 hours after injury. Beyond mortality, it has a major impact on healthcare resource utilization and a persistent negative effect on patients' long-term reported outcomes. This book is edited by surgeons who are passionate about the topic, and about optimizing the outcomes for polytrauma patients. Grasping the fascinating pathophysiology of MOF is essential for providing patients with quality early care. Each chapter highlights key learning objectives, historical perspectives, diagnostic and therapeutic pearls, and includes a must-know summary, additional reading suggestions and future research directions. Flowcharts, decision-making guides, summary tables, graphics and clinical photographs help to maximize the learning experience and to ensure readers retain what they've learned. The book fills a unique niche area for many specialties dedicated to critical care of polytrauma patients and to their management before and beyond intensive care.

Selected as a Doody's Core Title for 2022! Apply the latest advances in regional anesthesia and acute pain medicine! Originally authored by Michael F. Mulroy, MD, this respected title has helped practitioners provide effective regional anesthesia for nearly 30 years. Now it has been retitled A Practical Approach to Regional Anesthesiology and Acute Pain Medicine to reflect the Accreditation Council for Graduate Medical Education's recent establishment of Regional Anesthesiology and Acute Pain Medicine as an anesthesiology fellowship. This clinical reference has evolved with the many changes in this subspecialty to continue bringing you the up-to-date, clinically focused, hands-on guidance you need to offer your patients the best possible care. Master the latest advances in the field with expanded coverage of truncal blocks, systems-based practice, acute pain medicine, and much more. Make optimal use of ultrasound guidance as a nerve localization tool for peripheral nerve blocks, thanks to updated and expanded coverage as well as many new and improved illustrations. The techniques, approaches, and systems-based practices covered in 5th edition will enhance the application and role of regional anesthesia in Enhanced Recovery After Surgery (ERAS) pathways and the perioperative surgical home. Easily find and apply the answers you need thanks to a highly readable, focused, richly illustrated format that provides balanced discussions of indications, complications, and techniques. Your book purchase includes a complimentary download of the enhanced eBook for iOS, Android, PC & Mac. Take advantage of these practical features that will improve your eBook experience: The ability to download the eBook on multiple devices at one time - providing a seamless reading experience online or offline Powerful search tools and smart navigation cross-links that allow you to search within this book, or across your entire library of VitalSource eBooks Multiple viewing options that enable you to scale images and text to any size without losing page clarity as well as responsive design The ability to highlight text and add notes with one click See the inside front cover to find out how to access your eBook! 3 Stars from Doody's Review Service! " With a focus on perioperative blocks, the book is full of practical tips and has a very useful focus on the anatomy of each block... The book is quite handy in providing a quick refresher course for anesthesiologists and trainees in busy practices." - Doody's Review Service

Part of the popular Core Topics series, this book provides a practical guide to pre-operative assessment for consultants and trainee anaesthetists. Chapters cover comprehensive evidence-based guidance for assessing and managing patients with particular conditions, as well as perioperative risk stratification and challenges of pre-assessment. The chapters have been written by specialists in the respective clinical fields, while all content has been edited by anaesthetists to assure it is relevant and accessible to the anaesthetist in the everyday pre-operative clinic. Written specifically for anaesthetists, this resource will allow every reader to contribute effectively in a multidisciplinary approach when assessing and risk stratifying patients to ensure that they are optimised before surgery.

Global and national confidential inquiry reports show that 60 to 80% of maternal and neonatal morbidity and mortality are due to avoidable errors. This comprehensive and illustrated second edition offers a practical guide to the management of obstetric, medical, surgical, anaesthetic and newborn emergencies in addition to organisational and training issues. The book is divided conveniently into nine sections and updated throughout in line with modern research and practice. Several new chapters cover setting up skills and drills training in maternity services to reduce avoidable harm, managing obstetric emergencies during 'home births' and in low-risk midwifery units, and minimizing maternal and fetal morbidity in failed operative vaginal delivery. Each chapter includes a practical algorithm for quick reference, the scientific basis for proposed actions, a case-based practical exercise and useful learning tools such as 'Key Pearls' and 'Key Pitfalls'. An invaluable resource for obstetricians, neonatologists, midwives, medical students, anesthesiologists and the wider perinatal team.

Mechanical ventilation is an essential life-sustaining therapy for many critically-ill patients. As technology has evolved, clinicians have been presented with an increasing number of ventilator options as well as an ever-expanding and confusing list of terms, abbreviations, and acronyms. Unfortunately, this has made it extremely difficult for clinicians at all levels of training to truly understand mechanical ventilation and to optimally manage patients with respiratory failure. Mechanical Ventilation was written to address these problems. This handbook provides students, residents, fellows, and practicing physicians with a clear explanation of essential physiology, terms and acronyms, and ventilator modes and breath types. It describes how mechanical ventilators work and explains clearly and concisely how to write ventilator orders, how to manage patients with many different causes of respiratory failure, how to "wean" patients from the ventilator, and much more. Mechanical Ventilation is meant to be carried and used at the bedside and to allow everyone who cares for critically-ill patients to master this essential therapy.

Die Veranderungen im Gesundheitswesen bewirken einen enormen Druck auf die Krankenhauser, so effizient wie moglich zu arbeiten.

Das Praxishandbuch fur die Funktionsdienste OP und Anasthesie unterstutzt Pflegende, damit sie den neuen Anforderungen gerecht werden konnen.

Die Operationsabteilung ist mit Personaleinsatz und kostenintensivem Materialbedarf der betriebswirtschaftlich teuerste Bereich der Krankenhauser. Bei einem chirurgisch versorgten Patienten entstehen allein 30% der Gesamtkosten im OP. Damit entscheidet die Leistungsfahigkeit des OP-Bereiches wesentlich den finanziellen Erfolg eines Krankenhauses im DRG-System. Um Kosten zu senken, mussen Schnittstellen zu "Nahtstellen" werden. Dies ist besonders im Bereich der standardisierten Operationen moglich und OP- und Anasthesiepflegepersonal muss sich daher interdisziplinar weiterbilden. "

Das vorliegende Werk gibt einen aktuellen UEberblick uber die wichtigsten POCT-Analyseverfahren und POCT-Gerate sowie deren klinische Anwendung. Daruber hinaus liefert es Informationen, u.a. zu medizinischer und wirtschaftlicher Bedeutung von POCT, Methodik, Organisation, Qualitatssicherung und den Trends fur die Zukunft. Die 3. Auflage wurde komplett aktualisiert und erweitert und tragt den neuesten Entwicklungen auf dem Gebiet Rechnung. Neue Themen sind u.a. POCT-taugliche molekularbiologische Verfahren und der internationale Vergleich der Qualitatsregeln fur POCT. Das Buch wendet sich an alle, die bereits patientennahe Laboruntersuchungen durchfuhren oder zukunftig einfuhren moechten: AErzte aller Fachbereiche, POCT-Beauftragte, Verantwortungstrager in Kliniken und Krankenhausverwaltungen. Aber auch die Entwicklungsabteilungen von IVD-Unternehmen erhalten wertvolle Informationen uber Entwicklungstendenzen und die neuen Anforderungen der europaischen Gesetzgebung an POCT-Gerate und -Reagenzien.

Fundamentals of Anaesthesia is the gold standard text for the Primary FRCA, encapsulating the basic principles of modern anaesthesia in one easily accessible volume. Written and edited by experts with extensive FRCA examination experience, this text deliberately blends the expertise of invited authors in an unrivalled consistency of style more akin to that of a single author text. All of the subject matter required to pass the exam is condensed into an easy-to-read format. This fully updated fourth edition includes new guidelines, an improved chapter structure, and a new section on clinical ultrasound. The generous use of summary boxes, bullet points, tables and diagrams creates a text that is clear, concise and easy to navigate. Each section covers one of the four components of the SOE. This is a unique revision aid for the Primary FRCA and an essential companion for all exam candidates.

A case-based guide with expert commentary, Challenging Concepts in Critical Care shows how the experts approach and deal with real-life clinical scenarios. Each chapter presents a clinically challenging case complete with a case history, evidence based tips, and up-to-date learning points. To give further insight into the field, each chapter has commentary from an expert who identifies and explains the key points and controversies of the case. Practical yet rich in detail, Challenging Concepts in Critical Care is a key title for anyone preparing for intensive care exams. For each case, key information is highlighted through the use of boxes to stimulate interest and facilitate learning: 'Learning points', 'Clinical tips', 'Evidence base', and 'Expert commentary'. With new information on key trials, clinical practise, and evidence based research, this book is also an invaluable resource for experienced critical care clinicians looking for a concise update on a wide range of challenging topics in the field. In addition, it is of high value to senior ICU nurses, allied health professionals, and anyone with an interest in intensive care medicine.

Choosing an easy life as an anaesthetist over the cut and thrust of art college, Steve Yentis has been drawing medical cartoons, whilst waiting for surgeons to turn up or his regional blocks to work, for the last 20 years. This collection of drawings represents a wry look at life in the operating theatre, wards and clinic, as seen from the Head End, which is, of course, by far the more important end. Appealing to anyone who has ever worked in a hospital, this book will help pass the time during those long periods of inactivity between audit meetings. Exam candidates in particular will find it contributes absolutely nothing to their chances of success.

Some important constraints of anesthesia must be taken into consideration when the pharmacological properties of modern anesthetics are discussed. The most imp- tant of these could be that the target effect be achieved preferably within seconds, at most within a few minutes. Similarly, offset of drug action should be achieved within minutes rather hours. The target effects, such as unconsciousness, are pot- tially life-threatening, as are the side effects of modern anesthetics, such as respi- tory and cardiovascular depression. Finally, the patient's purposeful responses are not available to guide drug dosage, because, either the patient is unconscious, or more problematically, the patient is aware but unable to communicate pain because of neuromuscular blockade. These constraints were already recognised 35 years ago, when in 1972 Volume XXX entitled "Modern Inhalation Anesthetics" appeared in this Handbook Series. The present volume is meant as a follow up and extension of that volume. At the beginning of the 1970's anesthesia was commonly delivered by inhalation, with only very few exceptions. The clinical understanding of that time considered anesthesia as a unique state achieved by any of the inhalation anesthetics, in- pendent of their specific molecular structure. "The very mechanism of anesthetic action at the biophase" was discussed within the theoretical framework of the "u- tary theory of narcosis".

The updated guide to the Australian and New Zealand College of Anaesthetists final fellowship examination

The format of the Australian and New Zealand College of Anaesthetists (ANZCA) final examination has evolved in recent years. This updated exam guide keeps pace with these developments and assists anaesthetic trainees in preparation for the exam.

"Examination Anaesthesia, 2nd Edition" is a comprehensive study guide that focuses solely on the anaesthetic exam, eliminating confusion between this and the intensive care exams.

This invaluable medical text itemises all requirements of the Fellow of the Australian and New Zealand College of Anaesthetists (FANZCA) training scheme.

Components of the final examination are also detailed, including a breakdown of the marking scheme and recent results.

Helpful resources outlined in "Examination Anaesthesia, 2nd Edition" include new developments on the ANZCA website, textbooks, journals and exam courses along with a broad list of anaesthesia reference and review articles.

Trainees will also benefit from separate chapters based on the major components of the written and clinical ANZCA examinations, plus practical strategies for restructuring life around exam preparation.

Le situazioni critiche in medicina d'urgenza e in terapia intensiva rappresentano una tra le sfide piu difficili nella pratica clinica. La natura stessa dell'ambiente di cura, l'incertezza, il rischio elevato, i tempi ristretti e lo stress, rendono queste discipline particolarmente vulnerabili agli errori nella gestione dei pazienti. Nell'ultimo decennio e diventato sempre piu evidente, che la capacita di erogare trattamenti sicuri in queste circostanze dipende da un'approfondita conoscenza dei meccanismi all'origine dell'errore umano. Questo volume, che e la traduzione italiana della seconda edizione di Crisis Management in Acute Care Settings, propone una rassegna originale e completa di tutti i problemi correlati ai fattori umani, rilevanti per la sicurezza dei pazienti durante l'erogazione di trattamenti urgenti. Le energie di medici e psicologi si sono mescolate in un testo facilmente accessibile, che aiutera i medici e altri professionisti della salute a comprendere meglio i principi del comportamento umano e del processo decisionale nelle situazioni critiche, per evitare errori e garantire un trattamento piu sicuro ai loro pazienti.

This comprehensive book is written to inform and improve outcomes of patients in need of blood management during surgical procedures. Information is presented in an accessible format, allowing for immediate use in clinical practice. Beginning with an overview of the history of blood transfusions, early chapters present the foundational information needed to comprehend information in later chapters. Nuanced procedures, drugs, and techniques are covered, including new biologicals to assist clotting and blood substitutes. Further discussions focus on potential complications seen in blood transfusions, such as diseases of the coagulation system, pathogen transmissions, and acute lung injuries. Chapters also examine the complexities of treating specific demographics, of which include the geriatric patient and patients suffering from substance abuse. Essentials of Blood Product Management in Anesthesia Practice is an invaluable guide for anesthesiologists, surgeons, trauma physicians, and solid organ transplant providers.

This practical guide provides a focus on the implementation of healthcare simulation operations, as well as the type of professional staff required for developing effective programs in this field. Though there is no single avenue in which a person pursues the career of a healthcare simulation technology specialist (HSTS), this book outlines the extensive knowledge and variety of skills one must cultivate to be effective in this role. This book begins with an introduction to healthcare simulation, including personnel, curriculum, and physical space. Subsequent chapters address eight knowledge/skill domains core to the essential aspects of an HSTS. To conclude, best practices and innovations are provided, and the benefits of developing a collaborative relationship with industry stakeholders are discussed. Expertly written text throughout the book is supplemented with dozens of high-quality color illustrations, photographs, and tables. Written and edited by leaders in the field, Comprehensive Healthcare Simulation: Operations, Technology, and Innovative Practice is optimized for a variety of learners, including healthcare educators, simulation directors, as well as those looking to pursue a career in simulation operations as healthcare simulation technology specialists.

Head injuries are commonplace. Though most patients survive, the consequences, both physical and social, can be devastating. The methods of initial assessment and management can have a crucial effect on determining the outcome of the injury, and long-term effects. However, only a minority of head-injured patients are cared for by Neurosurgeons. The majority are seen by non-specialists, often junior doctors and nurses, and treated in district hospitals where specialist neurosurgical assistance is unavailable. As a guide for doctors and nurses working in the A & E department, or the Orthopaedic or General Surgical Ward, the emphasis of this book is on the early management of the head- injured patient. New to the second edition are chapters on managing the 'disturbed' head injured patient, a chapter of special value to nurses (who often have to deal with this difficult task). A new chapter on anaesthesia and head injuries has also been added, with other chapters significantly revised to reflect the crucial role played by anaesthetists in head injury management. Providing practical advice on the early treatment of minor head injuries, and the management of major head injuries, the book provides advice that will be essential in ensuring effective treatment of these patients. From reviews of first edition: '... an excellent account of the management of head injuries... this one certainly fulfils its stated aim and is to be recommended.' JOURNAL OF NEUROLOGY, NEUROSCIENCE, AND PSYCHIATRY '... concise and well-referenced... a worthwhile addition to an A& E department's bookshelves.' NURSING TIMES 'The text is easy to read, and is of particular use to non-specialist staff... Useful as an introduction for junior neurosurgeons in training.' ANNALS OF THE ROYAL COLLEGE OF SURGEONS OF ENGLAND

Bei der Bluttransfusion handelt es sich um die Transplantation eines fremden flussigen Organs. Blutkomponenten und Plasmaderivate sind dabei verschreibungspflichtige Arzneimittel und durfen nur auf arztliche Anordnung abgegeben werden. Von dem am Patienten tatigen Arzt werden damit grundlegende klinisch-transfusionsmedizinische Kenntnisse fur den differenzierten Umgang mit Blutkomponenten und Plasmaderivaten gefordert. Das vorliegende Werk gibt diese Hilfestellung und vermittelt Basiswissen zu Blutprodukten und Transfusionen fur Nicht-Transfusionsmediziner. Es beschreibt u.a. die Risiken von Bluttransfusionen, die Grundlagen der Blutgruppenserologie und die Zusammensetzung von Blut und Blutprodukten sowie das Management bei Transfusionszwischenfallen; es geht auf das aktuelle Transfusionsgesetz ein und die Richtlinien zur Bluttransfusion sowie auf die Verordnung und Gabe von Blut und Blutprodukten. Das Werk ist praxisnah und ubersichtlich gestaltet mit vielen konkreten Tipps, Flussdiagrammen und Tabellen. Die 2. Auflage erscheint komplett aktualisiert erweitert, u.a. zu juristischen und arzneimittelrechtlichen Aspekten autologer Transfusionsverfahren und zum Effektivitatsvergleich autologer Verfahren wie Eigenblutspende versus Hamodilution versus maschinelle Autotransfusion. Das Werk richtet sich an klinisch tatige AErzte aller Fachdisziplinen, die keine ausgewiesenen Transfusionsmediziner sind.

Numerous studies indicate that outcomes for pediatric patients are improved when the anesthesia caregiver has advanced training and knowledge of pediatric anesthesiology. Essentials of Pediatric Anesthesiology is a unique new handbook, providing a clinically relevant and easy-to-read review of all key topics in this important field. Written and edited by leading pediatric anesthesia physicians, each chapter takes a consistent approach, guaranteeing this book is user-friendly and authoritative throughout. Topics include physiology, anatomy, equipment, a comprehensive overview of relevant disease states, and special topics such as regional anesthesia, complications, and anesthesia for remote locations. Numerous diagrams, tables and figures help to organize the information for easy reference. Whether you choose to dip into a particular chapter or read the book cover to cover, Essentials of Pediatric Anesthesiology is a valuable review book for all residents, fellows and clinical practitioners needing to improve or refresh their understanding of pediatric anesthesia management.